With all due respect Redonihunter.
Many of the things you say are valid and very interesting to talk about, but they are offtopic and overcomplicate an answer.
If you comply with paypal's content rules, and also comply with itch's rules, you will have no problem.
If you do not comply with Paypal, but you comply with Itch and there is a problem, your account may be removed from the Itch payment system. And this has happened before, you can search the itch forum history. That's clear.
We can debate whether X content complies or does not comply with Itch or Paypal rules. But I understand that that is not the purpose of the question and therefore it is offtopic.
How strict these rules will be and how they will be applied is something only Leafo can answer.